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Domestic Violence Issues for Occupational Health Nursing

Domestic Violence Issues for Occupational Health Nursing . Michele M. Lawson, RN, MSN, COHN-S. Objectives. Identify seven types of domestic violence. Compare Power and Control Wheel with Cycle of Abuse. Discuss characteristics of batterers and victims.

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Domestic Violence Issues for Occupational Health Nursing

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  1. Domestic Violence Issues for Occupational Health Nursing Michele M. Lawson, RN, MSN, COHN-S

  2. Objectives • Identify seven types of domestic violence. • Compare Power and Control Wheel with Cycle of Abuse. • Discuss characteristics of batterers and victims. • Apply screening techniques to the occupational setting. • Recognize appropriate community resources for victims.

  3. Domestic Violence • CBS news report

  4. Types • Physical • Verbal • Emotional • Sexual • Financial • Spiritual • Economical

  5. Cycle of Abuse

  6. Power and Control • Board room commercial • Domestic Abuse Intervention Project

  7. Characteristics of Victims • Bureau of Justice Statistics Intimate Partner Violence in the U.S.: Victim Characteristics • Female • 20-24 years • Lower income • Lower education level

  8. Men are Not Exempt • Homosexual relationships • Elder abuse • Some violent women

  9. Characteristics of Batterers • 80-90% are male • 18-35 years (teenagers are not innocent) • Some have prior nonviolent/violent offense • Usually known because of prior DV calls to police • Alcohol and drugs in majority of cases • Mental illness not a factor • May have multiple victims • Likely to abuse again depending on measures taken usually within 6 months

  10. High Risk Situations • Pregnancy • Victims attempt to leave the abuse • Just out of prison or off probation

  11. “I just want the violence to stop” • Victims may not want to leave • FEAR • Children • Financial • Ability to provide/survive on their own • Repeat abuse incidents

  12. Navigating the System • Criminal • Civil • Both? • Language barriers • Court appearances • Transportation • Cost for services and time off work

  13. Safety Planning • Key documents for victim/children • SS card • Birth certificates • Passports/DL • Unpaid bills • Mortgage or rental agreement • Money • Keys • Safe home/shelter • Address book

  14. Screening in the Workplace • What policies are already in place? • Is there management support? • Development of policies: A Team approach • HR • Safety • Management • OHN • Implementation of policy • Getting the information to the employees • Screening during annual exams

  15. What to ask? • Verbally not on a form! • Have you been hit, kicked, slapped, punched, or in any other way physically abused? • Do you now or have you felt threatened by your intimate partner? • Do you have or know resources that you can access? (No matter what the answer, providing this information may be the first step to helping.)

  16. Who to ask? • Every client, consistently. • Not everyone will exhibit “typical” victim characteristics • If all employees are screened at annual visit, no one is singled out or missed

  17. “Yes” Responses • Always provide resources!!! • He or she may not be ready to leave now

  18. Providing Power & Control • STOP the SILENCE • Australian Domestic Violence Video

  19. Toolkit • National Advisory Council on Violence • http://www.legalmomentum.org/assets/pdfs/creatingsolutions.pdf

  20. Resources • Violence Against Women • Violence Prevention web site • www.nwph.net/preventviolence/default.aspx • World Health Organization • www.who.int/violence_injury_prevention/violence/en/index.htm • Violence Prevention Alliance • www.who.int/violenceprevention/en/index.htm.

  21. Local Resources • SAFE Homes-Rape Crisis Coalition • 236 Union Street, Spartanburg, SC 29302 • 864-583-9803 or 800-273-5066 • shrcc@aol.com • Spartanburg Public Safety Domestic Violence Task Force • 864-596-3452 • Hispanic Outreach of South Carolina, Inc. • 800-372-3312

  22. Local Resources • Pee Dee Coalition Against Domestic and Sexual Assault • 843-669-4694 • Sistercare, Inc. (Columbia) • 803-926-0505 • My Sister’s House (Charleston) • 843-744-3242 • SafeHarbor (Upstate/Greenville) • 800-291-2139

  23. StateResources (cont.) • South Carolina Centers for Equal Justice • 888-346-5592 • Carolina Counseling (Batterer’s Counseling) • 864-583-5802 • South Carolina Coalition Against Domestic Violence and Sexual Assault (SCCADVASA) • 800-260-9293 • http://www.aardvarc.org/dv/states/scdv.shtml

  24. National Domestic Violence Hotline • 1-800-799-SAFE • 1-800-799-7233

  25. Questions?

  26. Contact Information Michele M. Lawson michlawson@earthlink.net

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